This document provides information about the dopamine agonist medication Requip (ropinirole) including its classification, dose, route, time/frequency of administration, peak effect, onset and duration. It describes the medication's mechanism of action for decreasing leg restlessness and important nursing implications like monitoring for side effects such as drowsiness or hallucinations in elderly patients. The summary highlights key teaching points for patients around changing positions slowly to prevent drops in blood pressure and cautioning about potential drowsiness or unexpected sleep episodes.
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Re Quip
This document provides information about the dopamine agonist medication Requip (ropinirole) including its classification, dose, route, time/frequency of administration, peak effect, onset and duration. It describes the medication's mechanism of action for decreasing leg restlessness and important nursing implications like monitoring for side effects such as drowsiness or hallucinations in elderly patients. The summary highlights key teaching points for patients around changing positions slowly to prevent drops in blood pressure and cautioning about potential drowsiness or unexpected sleep episodes.
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NURS 2516 Clinical Medications Worksheets
Generic Trade Name Classification Dose Route Time/frequency
Name Dopamine Ropinirole Requip agonists 5 mg PO Q H.S. Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
Unknown Unknown 8 hr N/A
Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Stimulates dopamine receptors in the brain. Decreased Use cautiously in geriatric patients due to Inc risk of leg restlessness. hallucinations in patients over 65 yr., severe cardiovascular disease. Common side effects CNS: Sleep attacks, dizziness, syncope, confusion, drowsiness, fatigue, hallucinations, headache, increased dyskinesia, weakness. EENT: abnormal vision. CV: orthostatic hypotension, peripheral edema. GI: dry mouth, dyspepsia, nausea, vomiting. Derm: increased sweating. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) May cause increased BUN levels. None for this patient Be sure to teach the patient the following about this medication Caution patient to change positions slowly to minimize orthostatic hypotension. May cause drowsiness and unexpected episodes of falling asleep. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess blood pressure periodically during med? Decrease in restless legs and therapy. Assess patient for drowsiness and If the patient is showing signs of sleep improvement of sleep patterns. sleep attacks. Assess sleep patterns and attacks. frequency of restless leg disturbances.
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